Modeling and Simulation of Robotic Palpation to Detect Subsurface Soft Tissue Anomaly for Presurgical Assessment

Surgical Haptics is an emergent field of research to integrate and advance the sense of robotic touch in laparoscopic tools in robot-assisted minimally invasive surgery. Haptic feedback from the tooltip and soft tissue surface interaction during robotic palpation can be leveraged to detect the texture and contour of subsurface geometry. However, precise force modulation of the robotic palpating probe is necessary to determine stiff inclusions of the anatomy and maneuver successive manipulation tasks during surgery. This paper focuses on investigating the layered deformations associated with different force profiles involved in manipulating the superficial anatomy of soft tissues during dynamic robotic palpation to determine the underlying anomaly. A realistic three-dimensional (3D) cross-sectional soft tissue phantom with anatomical layers and tumor, as an anomaly, is designed, modeled, and analyzed to examine the effects of oriented palpating forces (0–5 N) of a 7 DOF robot arm equipped with a contoured palpation probe. Finite element static structural analysis of oriented robotic palpation on the developed 3D soft tissue phantoms (with and without anomaly) reveals the soft tissue layer deformations and associated strains needed to identify presence of stiffer inclusions or anomaly during Robotic palpation. The finite element analysis study shows that the difference in deformations of soft tissue layers (e.g., underlying myofascial layers) under stiffer inclusions at different force levels can facilitate haptic feedback to acquire information about subsurface tumors. The deformation variations are further compared to assess better palpation orientations for subsurface anomaly detection.